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59 Cards in this Set

  • Front
  • Back
most common cause of frank hematochezia in elderly?
colonic diverticulosis -- sigmoid
palatal ulcers, hepatosplenomegaly, pancytopenia in MS, OH valley. dx?
histo
most common causes of epiglotitis?
h. influenzae A, h. parainfluenzae, strep pneumo, s. aureus, beta hemolytic strep
croup tx?
racemic epi neb
precocious puberty and ovarian mass. dx?
granulosa cell tumor
paralysis of vertical gaze assoc with pupillary disturbances and eyelid retraction. dx?
germinoma or pinealoma in rostral midbrain -- superior colliculus and CN III
when to externally cephalic version a fetus?
b/t 37 and birth
inflammation and pain at sites of tendons/ligaments attach to bone. dx? assoc?
enthesitis
recurrent tendon/lig stress and HLA-B27 (heel pain in AS)
variable decel = ...
umbilical compression
pink-reddish nodules on anterior LE. dx? assoc?
erythema nodosum
recent strep, sarcoid, TB, histo, IBD
contact dermatitis in jewelry? type of rxn?
nickel
type IV hypersensitivity
exudate vs transudate?
effusion:serum protein > 0.5
effusion:serum LDH >0.6
effusion LDH > 2/3 upper nl LDH
complicated vs uncomplicated effusion?
complicated: pos gram, pos culture, pH < 7.2, glu < 60
requires chest tube
beta blocker OD. tx?
atropine and IV
glucagon
acalculous cholecystitis causes?
extensive burns
severe trauma
prolonged TPN
prolonged fasting
mech vent
vaginismus tx
relaxation, kegal exercises
G6PD drugs...
sulfa
antimalarial
nitrofurantoin
(UTI drugs)
contact with sand in tropical region, pruritic, elevated, serpiginous lesions on skin. dx?
cutaneous larva migrans
what is alprazolam?
short BZD
vitiligo assoc?
autoimmune -- pernicious anemia, autoimmune thyroid dz, T1 DM, primary adrenal insufficinecy, hypopituitarism, alopecia areata
COPD with finger clubbing. dx?
malignancy
diphenhydramine and urinary retention...
H1-antihistamines have anticholinergic effects -- detrusor inactivity
RLS tx?
dopamine agonist -- pramipexole, ropinerole
carpal tunnel in hypothyroidism. cause?
myxedema
lyme dz in preggers. tx?
amoxicillin
bright red, firm, friable, exophytic nodules in HIV. dx? tx?
bacillary angiomatosis
erythromycin
anterior mediastinal masses...
thymoma, teratoma, retrosternal Thyroid, and Terrible lymphoma
middle mediastinal masses...
tracheal tumors, pericardial cysts, lymphoma, LN enlargement, AA of arch, bronchogenic cysts
posterior mediastinal masses...
neurogenic -- meningocele, enteric cysts, lymphoma, diaphragmatic hernia, esophageal tumor, AA
pronator drift =
upper motor neuron dz (won't pronate if faking)
causes of constrictive pericarditis?
cardiac surgery, viral pericarditis, XRT
AIDS nephropathy?
focal segmental GN
skin necrosis after starting anticoagulation. dx? cause?
WIN
protein c deficiency
what is pellagra deficient in? PE?
niacin
diarrhea, dermatitis, dementia
most common thyroid CA?
papillary
chlamydial conjunctivitis time...
5-15 days
increased Fe levels, nl TIBC, microcytic anemia. dx?
sideroblastic
sudden, painful LOV. seeing halos around lights, IOP. dx?
acute angle glaucoma
treat within 2-5 hours
PTE pleural effusion type?
exudative
most common cause of torticollis?
URI, minor trauma, cervical lymphadenitis, retropharyngeal abscess, atlantoaxial subluxation
MEN IIa mutation?
RET proto-oncogene, chrom 10
dysphagia, pain, salivation, mouth burns. alert. dx?
caustic poisoning
ptosis, down and out in diabetic. dx?
CN III neuropathy
cherry red macula besides tay sacchs?
niemann picks
newborn with cleft palate, small size, microcephaly, digital hypoplasia, nail hypoplasia. dx?
phenytoin in pregnancy
indications for thyroid function tests...
hyperlipidemia
unexplained hypoNa
elevated muscle enzymes
diagnostic test for acute glaucoma?
tonometry
path finding with CGD?
neutrophils filled with bacteria
brick-red maculopapular rash on face to trunk. prior URI, now leukopenia. dx? tx?
measles
vit A
MI murmur?
S4
transient monocular vision loss. zones of whitened edematous retina. dx? cause?
amaurosis fugax
retinal emboli
sudden monocular vision loss. pallor of optic disc. dx?
central retinal artery occlusion
skin lesions in parkinson's and HIV?
seborrheic dermatitis
RA bone problems?
osteopenia, osteoporosis
what is emphysematous cholecystitis?
secondary infxn of gallbladder wall with gas-forming bacteria
rifampin ASE?
red urine
thrombocytopenia in CLL. prognosis?
negative
anemia in intermediate
bedwetting cutoff?
5 yo
lupus nephritis. next step?
renal biopsy, then immunosuppressive tx when classified